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The Nest Registration Form 2024
Registration and Emergency Contact Details for your child.
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* Indicates required question
Child's First and Last Names
*
Your answer
Likes to be known as
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Home Address inc. postcode
Your answer
(Emergency Contact 1) First and Last Names + relationship to child
Your answer
(Emergency Contact 1) Telephone Number
Your answer
(Emergency Contact 1) Email address
Your answer
Emergency Contact 2 - First and Last names + relationship to child
Your answer
Emergency Contact 2 - Telephone Number
Your answer
Emergency Contact 2 - Email Address
Your answer
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